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目的:初步探讨移动医生工作平台在缺血性脑卒中患者管理中的应用。方法:随机选取64例浙江省慢性病监测信息管理系统2012年1月-2013年5月内报告的新发缺血性脑卒中病例作为观察组,并选取64例同期内本社区的新发病例作为对照组。对照组纳入常规慢病管理,观察组在对照组的基础上运用移动医生工作平台进行管理。比较两组在危险因素的控制以及脑卒中复发等方面的差异。结果:观察组的危险因素控制率、医嘱依从性明显高于对照组,而其空腹血糖、血压、低密度脂蛋白指标较对照组明显降低,差异有统计学意义(P<0.05)。结论:在缺血性脑卒中患者管理中应用移动医生工作平台,可以帮助患者强化健康知识教育,建立良好的生活方式。
Objective: To investigate the application of mobile doctor working platform in the management of ischemic stroke patients. Methods: Sixty-four cases of new-onset ischemic stroke reported in Zhejiang Chronic Disease Surveillance Information Management System from January 2012 to May 2013 were selected as the observation group and 64 newly diagnosed cases of this community in the same period were selected as Control group. The control group was included in the routine chronic disease management, and the observation group was managed by the mobile doctor’s working platform on the basis of the control group. The differences between the two groups in the control of risk factors and the recurrence of stroke were compared. Results: The control rate of risk factors and doctor ’s order compliance in the observation group were significantly higher than those in the control group, while the indexes of fasting blood glucose, blood pressure and low density lipoprotein in the observation group were significantly lower than those in the control group (P <0.05). Conclusion: The application of mobile doctors’ working platform in the management of ischemic stroke patients can help patients to strengthen their health knowledge education and establish a good lifestyle.